---
type: "Bill"
title: "Human services: medical services; general changes to the medical assistance program; provide for. Amends secs. 105b & 109f of 1939 PA 280 (MCL 400.105b & 400.109f) & repeals secs. 105c & 105f of 1939 PA 280 (MCL 400.105c & 400.105f)."
description: "Human services: medical services; general changes to the medical assistance program; provide for. Amends secs. 105b & 109f of 1939 PA 280 (MCL 400.105b & 400.109f) & repeals secs. 105c & 105f of 1939 PA 280 (MCL 400.105c & 400.105f)."
jurisdiction: "us/states/mi"
legislature: "Michigan Legislature"
session: "2023-2024"
identifier: "HB 4496"
citation: "Michigan HB 4496 (2023-2024)"
classification: ["bill"]
subjects: ["Human services: medical services", "State agencies (existing): health and human services"]
status: "enacted"
primary_sponsors: ["Graham Filler"]
version_count: 7
action_count: 29
vote_count: 2
first_action: "2023-05-02"
last_action: "2023-07-19"
source: "openstates"
source_identifier: "ocd-bill/0f600822-d070-409c-be69-54596e07a052"
source_url: "https://legislature.mi.gov/Bills/Bill?ObjectName=2023-HB-4496"
source_hash: "c6234870eca567df1bcf4638069855a8069a6470446711b7eb23269f48c6d70d"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-mi"]
---

# Michigan HB 4496 (2023-2024) — Human services: medical services; general changes to the medical assistance program; provide for. Amends secs. 105b & 109f of 1939 PA 280 (MCL 400.105b & 400.109f) & repeals secs. 105c & 105f of 1939 PA 280 (MCL 400.105c & 400.105f).

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **As Passed by the House** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBH-4496.pdf)
2. **As Passed by the Senate** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billengrossed/House/pdf/2023-HEBS-4496.pdf)
3. **House Concurred Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billconcurred/House/pdf/2023-HCB-4496.pdf)
4. **House Introduced Bill** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/billintroduced/House/pdf/2023-HIB-4496.pdf)
5. **Public Act** (committee substitute) — [source](https://legislature.mi.gov/documents/2023-2024/publicact/pdf/2023-PA-0099.pdf)
6. **Substitute (H-4)** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-4496-0N295.pdf)
7. **Substitute (H-4) - 2** (committee substitute) — [source](https://legislature.mi.gov/Home/GetObject?objectName=2023-HCVBS-4496-0O338.pdf)

## Votes

- PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 382 YEAS 25 NAYS 12 EXCUSED 1 NOT VOTING 0 — **25–12** (pass) · upper
- passed; given immediate effect Roll Call # 146 Yeas 83 Nays 24 Excused 0 Not Voting 3 — **83–24** (pass) · lower

## Sponsors

- Graham Filler — primary (person)
- Abraham Aiyash — cosponsor (person)
- Alabas Farhat — cosponsor (person)
- Carol Glanville — cosponsor (person)
- Carrie Rheingans — cosponsor (person)
- Dale Zorn — cosponsor (person)
- Donavan McKinney — cosponsor (person)
- Erin Byrnes — cosponsor (person)
- Helena Scott — cosponsor (person)
- Jaime Churches — cosponsor (person)
- John Fitzgerald — cosponsor (person)
- Kevin Coleman — cosponsor (person)
- Mike McFall — cosponsor (person)
- Phil Green — cosponsor (person)
- Rachel Hood — cosponsor (person)
- Samantha Steckloff — cosponsor (person)
- Tullio Liberati — cosponsor (person)
- Tyrone Carter — cosponsor (person)
- Veronica Paiz — cosponsor (person)
- Will Snyder — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2023-05-02** introduced by Representative Graham Filler `introduction`
- **2023-05-02** read a first time `reading-1`
- **2023-05-02** referred to Committee on Health Policy `referral-committee`
- **2023-05-03** bill electronically reproduced 05/02/2023
- **2023-05-30** reported with recommendation with substitute (H-4) `committee-passage`
- **2023-05-30** referred to second reading
- **2023-06-13** read a second time `reading-2`
- **2023-06-13** substitute (H-4) adopted
- **2023-06-13** placed on third reading
- **2023-06-13** placed on immediate passage
- **2023-06-13** read a third time `reading-3`
- **2023-06-13** passed; given immediate effect Roll Call # 146 Yeas 83 Nays 24 Excused 0 Not Voting 3 `passage`
- **2023-06-13** transmitted
- **2023-06-15** REFERRED TO COMMITTEE ON HEALTH POLICY `referral-committee`
- **2023-06-21** REPORTED FAVORABLY WITHOUT AMENDMENT `committee-passage`
- **2023-06-21** REFERRED TO COMMITTEE OF THE WHOLE `referral-committee`
- **2023-06-27** REPORTED BY COMMITTEE OF THE WHOLE FAVORABLY WITHOUT AMENDMENT(S) `committee-passage`
- **2023-06-27** PLACED ON ORDER OF THIRD READING
- **2023-06-27** RULES SUSPENDED
- **2023-06-27** PLACED ON IMMEDIATE PASSAGE
- **2023-06-27** PASSED; GIVEN IMMEDIATE EFFECT ROLL CALL # 382 YEAS 25 NAYS 12 EXCUSED 1 NOT VOTING 0 `passage`
- **2023-06-27** INSERTED FULL TITLE
- **2023-06-27** returned from Senate without amendment with immediate effect and full title
- **2023-06-27** full title agreed to
- **2023-06-27** bill ordered enrolled
- **2023-06-28** presented to the Governor 07/10/2023 11:14 AM `executive-receipt`
- **2023-07-19** approved by the Governor 07/18/2023 12:00 PM `executive-signature`
- **2023-07-19** filed with Secretary of State 07/19/2023 10:56 AM
- **2023-07-19** assigned PA 99'23 with immediate effect

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0f600822-d070-409c-be69-54596e07a052`. Confidence: reported (aggregated from official Michigan legislature records).